Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1023136181
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Philadelphia, Pennsylvania. Divine Providence Village practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Divine Providence Village is 1023136181. The last update date is 2015-11-16.
Divine Providence Village's current location address is 1825 N 59th St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 1825 N 59th St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 1825 N 59th St, Philadelphia, Pennsylvania |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIVISIONAL |
|---|---|
| Authorized Official Name | Swiacki Fran |
| Telephone Number | 6105433380 |
NPI Number Detail
| NPI Number | 1023136181 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 1825 N 59th St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191513512 |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000031590122 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Divine Providence Village by the Centers for Medicare & Medicaid Services?
The Divine Providence Village has been assigned the NPI (National Provider Identifier) 1023136181 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Divine Providence Village is physically located?
The Divine Providence Village is situated at the following address: 1825 N 59Th St, Philadelphia, PA 191513512.
What is Divine Providence Village's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Divine Providence Village is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did the Divine Providence Village receive its 1023136181 assignment from the Centers for Medicare & Medicaid Services?
The Divine Providence Village was assigned its 1023136181 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date were the details related to Divine Providence Village most recently updated or revised?
The information pertaining to Divine Providence Village, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-16.